Cost Savings Using Generic Small Fragment Plating in lateral Malleolus Ankle Fractures at a level I Trauma Center.
Location
LSUHSC-NO Lion's Building
Document Type
Presentation
Start Date
16-6-2018 10:20 AM
End Date
16-6-2018 10:30 AM
Publication Date
June 2018
Description
INTRODUCTION: In 2016, the orthopedic trauma market was estimated to be over 5 billion dollars and the plate and screw market over 2 billion dollars. Due to rising costs, some orthopedists are using generic implants to offset rising costs without compromising clinical outcome. We present our cost savings experience using generic small fragment plating (ITS, Austria) for lateral malleolus ankle fracture fixation compared to conventional vendors.
METHODS: Inclusion criteria included Weber B or Weber C lateral malleolus ankle fractures treated with open reduction internal fixation. Fixation methods were grouped into conventional anatomic locked plating, conventional tubular plate fixation, or generic small fragment locked plating constructs. Groups included fractures that were treated with or without interfragmentary screw fixation and with or without syndesmosis fixation. Cost analysis included costs of the plate and screws only.
RESULTS: There were 13 fractures treated with conventional anatomic locked plating construct, 15 fractures with conventional tubular plate non locked construct, and 10 fractures with generic small fragment locked plating construct. The average conventional anatomic locking plate constructs cost $1150.83/case ($954.54-1331.76), conventional non locked tubular plate constructs $553.65/case (208.47-$1010.64), and generic small fragment locked plating $472/case ($389-$559). When comparing generic small fragment locked plating to conventional anatomic locked plating, there was an average cost savings of 59%/case or $678.83/case (p<0.05). When comparing ITS small fragment plating to conventional tubular non locked plating constructs, there was an average savings of%14.75/case or $81.65/case (p>0.05).
DISCUSSION: In conclusion, using generic small fragment locked plating constructs is saving our institution 59%/case when compared to conventional anatomic locked plating but there was no difference compared to conventional tubular non locking plate constructs.
Recommended Citation
Royals, Thomas P. MD, "Cost Savings Using Generic Small Fragment Plating in lateral Malleolus Ankle Fractures at a level I Trauma Center." (2018). Dept. of Orthopaedics: Robert D. D’Ambrosia Lectureship & Research Day. 6.
https://digitalscholar.lsuhsc.edu/ortho_rd/2018/presentations/6
Cost Savings Using Generic Small Fragment Plating in lateral Malleolus Ankle Fractures at a level I Trauma Center.
LSUHSC-NO Lion's Building
INTRODUCTION: In 2016, the orthopedic trauma market was estimated to be over 5 billion dollars and the plate and screw market over 2 billion dollars. Due to rising costs, some orthopedists are using generic implants to offset rising costs without compromising clinical outcome. We present our cost savings experience using generic small fragment plating (ITS, Austria) for lateral malleolus ankle fracture fixation compared to conventional vendors.
METHODS: Inclusion criteria included Weber B or Weber C lateral malleolus ankle fractures treated with open reduction internal fixation. Fixation methods were grouped into conventional anatomic locked plating, conventional tubular plate fixation, or generic small fragment locked plating constructs. Groups included fractures that were treated with or without interfragmentary screw fixation and with or without syndesmosis fixation. Cost analysis included costs of the plate and screws only.
RESULTS: There were 13 fractures treated with conventional anatomic locked plating construct, 15 fractures with conventional tubular plate non locked construct, and 10 fractures with generic small fragment locked plating construct. The average conventional anatomic locking plate constructs cost $1150.83/case ($954.54-1331.76), conventional non locked tubular plate constructs $553.65/case (208.47-$1010.64), and generic small fragment locked plating $472/case ($389-$559). When comparing generic small fragment locked plating to conventional anatomic locked plating, there was an average cost savings of 59%/case or $678.83/case (p<0.05). When comparing ITS small fragment plating to conventional tubular non locked plating constructs, there was an average savings of%14.75/case or $81.65/case (p>0.05).
DISCUSSION: In conclusion, using generic small fragment locked plating constructs is saving our institution 59%/case when compared to conventional anatomic locked plating but there was no difference compared to conventional tubular non locking plate constructs.